Provider Demographics
NPI:1437433976
Name:MANNING, AARON MICHAEL (MSOTR/L)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:MICHAEL
Last Name:MANNING
Suffix:
Gender:M
Credentials:MSOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3223 75TH ST
Mailing Address - Street 2:APT # 2
Mailing Address - City:EAST ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11370-1807
Mailing Address - Country:US
Mailing Address - Phone:917-439-5560
Mailing Address - Fax:
Practice Address - Street 1:3223 75TH ST
Practice Address - Street 2:APT # 2
Practice Address - City:EAST ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11370-1807
Practice Address - Country:US
Practice Address - Phone:917-439-5560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-03
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011233-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics